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tinnitus, again
sherm80 posted:
I know I've asked about tinnitus before, but was also wondering, as in my case, why I also hear heart beating frequently?? And it seems to intensify when stressed/anxious, of which I am 99% of the time, or any increase in activity. What is this wonderful phenomena, if you know? My tinnitus, (and I'm not really sure it is truly that, the dr seemed alittle dubious), is usually just a background "white" kind of noise, but this heart thing, annoying--I know I'm alive, don't need to HEAR it!!

As with everything, it seems, it's probably tied to anxiety of some sort. It's been going on for over a year now (or at least when I started noticing it), and I've had med physicials, etc., with nothing out of the ordinary. Thanx
Rod Moser, PA, PhD responded:
Hey, Sherm80....nice to hear from you again.

You may be experiencing a particularly annoying type of tinnitus, called Pulsatile tinnitus (PT)...

Pulsatile tinnitus can be caused by many medical conditions:

Vascular abnormalities -- a problem with an adjacent artery or vein (the jugular vein has a pulsation is high on the list of causes).

Glomus tumors (a non-cancerous growth in or near the blood vessels) are occasionally found.

Carotid stenosis (closing or narrowing of this neck artery) can cause pulsatile symptoms.

There are other causes, including hypertension (high blood pressure), patulous eustachian tubes (open tubes leading from throat to ear), palatomyoclonus (spasms of muscles in the soft palate) and stapedial muscle spasm (the tiny muscle attached to the stapes bone in the middle ear).

In order for you to be properly evaluated, it would be best for you to see an ENT at a large, university-based medical center. Most primary care clinicians don't have a clue about PT. Usually, the collaborative resources at these large institutions are better for these difficult to diagnose (and treat) disorders.

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